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Mortality in Orthopedic Patients: A Retrospective Review of 333 Medical Records Publisher Pubmed



Shirbache K1 ; Mafhoumi A2 ; Anaraki N2 ; Madreseh E5, 8 ; Shafiei SH3 ; Bagheri N6 ; Oryadi Zanjani L2 ; Nezameslami A4 ; Garmroudi G2, 7 ; Nabian MH2
Authors
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Authors Affiliations
  1. 1. Pediatric Orthopaedic Department, Hopital Robert-Debre, Groupe Hospitalier Universitaire AP-HP Nord-Universite Paris-Cite, Paris, France
  2. 2. Center for Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Orthopaedic Subspecialty Research Center, Sina University Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Orthopedics, Mayo Clinic, Rochester, United States
  5. 5. Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Orthopedic Surgery, Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Clinical Research Development Unit, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: European Journal of Orthopaedic Surgery and Traumatology Published:2025


Abstract

Background: The burden of orthopedic admissions has notably increased in recent years. Managing orthopedic conditions is challenging in clinical settings. Orthopedic complaints often necessitate urgent medical intervention to prevent complications and mortality. Despite advancements in medical care, some patients still experience severe complications, extended hospital stays, and death following orthopedic admission. In this study, we aimed to explore the distribution of potential risk factors and common patterns in orthopedic patients who died during their hospitalization. Materials and Methods: All the patients who were admitted to three tertiary trauma centers with orthopedic complaints from 2010 to 2023 and died during hospitalization were enrolled in this study. Demographic, injury-related, laboratory-related, intervention-related, complication-related, and healthcare-related data were extracted using the patient’s medical records. Descriptive analysis of the collected data was performed using the SPSS version 27 software. Results: 333 patients who died in the hospital with orthopedic complaints were included in the study and examined. The mean age of patients in this study was 67.89 years, comprising 68% males and 32% females. Trauma was patients’ most common clinical cause of admission (63.7%). The prevalence of death before surgery, death during the first 24 h after surgery, and death after 24 h postoperatively were 26.4%, 18.6%, and 55%, respectively. Conclusions: Our findings suggest a high prevalence of trauma as a clinical complaint leading to death among patients, emphasizing the importance of developing an integrated protocol for trauma preventive strategies. © The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2025.